Search Results: 7,915 vacancies
...Role: Penalty Review Specialist-1276
Estimated Duration: 6+ months
Location: Phoenix, AZ (hybrid)
Position Description
Primary Duties:
Analyze applicant data for abatement consideration.
Request additional information when needed....
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..., Retrospective UM. Supervises staff who conduct retrospective review of medical claims for appropriate DRG or non-DR coding and processing... ...Expert on work groups. The Supervisor also oversees the UM specialist staff functions, including requesting, receiving, processing,...
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...healthcare. About our Opportunity:
As the Clinical and Bill Review Advisor at Valenz Health, you will play a pivotal role in... ...have…
~ Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Clinical Documentation Specialist (CCDS)...
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...ensure better access to our unique model of care.
Overview:
Phoenix Medical Psychiatric Hospital is looking for a Utilization Review Coordinator to coordinate patients services across the continuum of care by promoting effective utilization, monitoring health...
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...Job Description
Job description – Parts Specialist
Mardian Equipment is an established multi-state Equipment Dealer offering over... ...Responsibilities:
Prepare purchase orders, solicit bid proposals, and review requisitions
Increase sales opportunities
Research and...
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Overview of Responsibilities (NOT limited to the following):
Verifying insurance information
Updating insurance information
Contacts insurance plans to determine eligibility, obtains coverage, benefit information, and prior authorizations for services
EOBs
...
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...owned community bank and one of Prairie Business Magazine's 50 best places to work for 10 years running. We are looking for a Credit Review Associate who can clearly identify borrower risk and translate the risk factors into terms others can understand within a narrative...
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...including but not limited to client inquiries, refunds, account adjustments and settlements. This position will also participate in the review of all client accounts that are delinquent in reimbursement.
CORE FUNCTIONS
1. Responsible for obtaining missing information...
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...We do not lose sight of that. It fuels our passion and drives every decision we make.
**Job Posting Title**
Physician Clinical Reviewer- GI- REMOTE
**Job Description Summary**
Key member of the utilization management team, and provides timely medical review of...
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...a part of the #1 full truckload carrier in the nation. Be a part of Swift Transportation.
Job Responsibilities: What you will do
Review violations, log and follow up to ensure compliance.
Are to include but are not limited to the following, other duties may be assigned...
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...well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Clinical Review Pharmacist
The Clinical Staff Pharmacist is responsible for the processing and documenting of Utilization Management requests...
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...Role: Purchase Reviewer-1153
Estimated Duration: 6+ months
Location: Phoenix, AZ
Position Description
The purpose of this position is to provide support to constituents, including education administrators and staff, community members, education partners...
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...core to our business.
Join Evolent for the mission. Stay for the culture.
**What You'll Be Doing:**
As a Physician Clinical Reviewer, Hematology and Medical Oncology you will be a key member of the utilization management team. We can offer you a meaningful way to...
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...Health Medical Center
Department: Care Management
Schedule: Regular FT 36 Hours Per Week
Shifts: Mid
As a Valleywise Utilization Review RN Coordinator, you are part of a multidisciplinary team providing exceptional care to our patients. As a Utilization Review RN...
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...Medical Billing Specialist - Follow up & Collections
LHH Recruitment Solutions is searching for a full-time Medical Billing Specialist... ...activities such as negotiating payment arrangements, reviewing overpayments, and handling correspondence.
Handling patient...
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...A/R Rep for a client in Phoenix, AZ, on a contract-to-hire basis. The client requires a representative for insurance collections, reviewing and interpreting EOBs, and someone to make phone calls and speak to claim status.
This position is located in Phoenix, AZ and is...
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...Experienced Document Review Attorney – Remote
Great opportunity for l icensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to start soon and others in the pipeline. Please apply to get on...
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...appropriate medical team to promote quality and cost effectiveness of medical care.
+ Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria
+...
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As the Clinical and Bill Review Advisor, you will play a pivotal role in guiding and advising on our internal clinical and bill review... ...: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Clinical Documentation Specialist (CCDS)....
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...according to protocol and that all documentation is timely and meets all Federal and State requirements.
+ Ensure second-level reviews have been performed and documented and may confer with medical directors, Health Plan Manager(s), Inpatient Care Coordinators (ICC’...
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